HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ,241,2 6.2V6;1-
ST. L U ll
C.OU N r37
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
DEC 10 1021
permittl 'g part
Commercial Resiclenli� 'YEkrt 1e"t
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PERMIT APPLICATION FOR:Treasure Coast Home Builders, LLC
',PROPOSED IMPROVEMENT LOCATION:
Address: 6504 Bayard Rd, Fort Pierce, Saint Lucie County A 34951
Property Tax ID #: 1301-612-0328-000-1 Lot No.12
Site Plan Name: Treasure Coast Home Block No. 132
Project Name: Treasure Coast Home
DETAILED DESCRIPTION OF WORK:
New Single Family Residence
41 IQ l % �Op tip i- �+i t! Z CdZ ✓ QA/!'�i. 02
New Electrical Meter Yes Second Electrical Meter
,CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
jCMechanical _� Gas Tank —Gas Piping
Electric Plumbing _ Sprinklers
V
_Shutters _✓Windows/Doors _ Pond
_ Generator _ Roof 5/12 Pitch
Total Sq. Ft of Construction: 2572
Sq. Ft. of First Floor: 1900
Cost of Construction: $ 185,500 Utilities: _ Sewer /Septic Building Height: 16 FT
:OWNERAESSEE:
CONTRACTOR:
NameTreasure Coast Home Builders, LLC
Name: Bernard Jones
Address:2325 SW Neal Road
City: Port Saint Lucie State: JC_1
Company: ROUND HILL DEV. GROUP, INC.
Address:12153 PERSIMMON BLVD
Zip Code: 34953 Fax:
Phone No.772-888-5955
E-Mail:nariannargen@yahoo.com
City: WEST PALM BEACH State: FL
Zip Code: 33411 Fax:
Phone No561-718-0831
Fill in fee simple Title Holder on next page (if different
E-Mail bjones5225@aol.com
from the Owner listed above)
State or County License CGC-1 509173
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN IAWINFORMATION:.
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
i
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:_
V Not Applicable
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
V Not Applicable
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before rnmmpnrina imnrk, nr rprnrriina vnrir KIntiro of r..r,,. =nf-nmgnn*
Sig ature of Owner/ Lessee/ ontractor as Agent for Owner
Signature o7contractor/Lic se Holder
STATE OF FLORIDA,
STATE OF FLORIDA ,
COUNTY OF1
COUNTY OF
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Sn to (or affirmed) and subscribed before me of
Swor to (or affirmed) and subscribed before me of
=Physical
Physical Presence or Online Notarization
Prese ce or Online Notarization
this _A& day of Wfy e)r 2020 by
nfrnTICAn NAfQW
this _4day of NQ___,2020 by
Name of person making •tatement.
Name of person ma ing statement.
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Personally Known OR Produced Identification ✓
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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